W.b. Stewart Tigers Athletics Boosters
Pediatric Adolescent Medicine
W.b. Stewart Tigers Athletics Boosters is a Jacksonville, Florida based Pediatric center with medical specialization in
Pediatric Adolescent Medicine. W.b. Stewart Tigers Athletics Boosters is doing business as
Ewc Sports Medicine.
It is located at
1658 Kings Rd, Jacksonville, Florida - 32209-6167. They can be contacted on phone at
972-367-4845.
NPI number (Unique professional ID) for W.b. Stewart Tigers Athletics Boosters is
1841794682 which was assigned by NPPES on 19 Mar, 2018 and it was last updated on 19 Mar, 2018.
W.b. Stewart Tigers Athletics Boosters specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
W.b. Stewart Tigers Athletics Boosters basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | W.b. Stewart Tigers Athletics Boosters |
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| Other Name : | Ewc Sports Medicine |
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Business Address:
W.b. Stewart Tigers Athletics Boosters address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1658 Kings Rd
Jacksonville, FL, 32209-6167
United States |
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| Phone Number : | 972-367-4845 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1841794682 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 19 Mar, 2018 |
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| Last Updated On : | 19 Mar, 2018 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Mouzon Bass |
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| Official Title or Position : | AGENT |
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| Phone Number : | 972-367-4845 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for W.b. Stewart Tigers Athletics Boosters are as mentioned. Primary taxonomy code for W.b. Stewart Tigers Athletics Boosters is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5050 Spring Valley Rd
Dallas, TX, 75244-3995
United States |
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Business Location:
Patients can refer following map for directions to
W.b. Stewart Tigers Athletics Boosters practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.